Individual
SUSAN L BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
56 THOMAS JOHNSON DR, FREDERICK, MD 21702-4599
(301) 694-3111
(301) 694-8626
Mailing address
610 SOLAREX COURT, FREDERICK, MD 21703
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R098423
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
926580503
—
MD
05
—
926580505
—
MD
Enumeration date
01/17/2007
Last updated
08/02/2016
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